F.002 - AMBULANCE SERVICE

	Commercial/Auto/Individuals Base Rates			Commercial/ Individual	Notes
		FY2019	FY2019	FY2019
	BLS Emergency A0429	$       758.60	$       758.60	$       844.60
	BLS Non-emergency A0428	$       736.45	$       736.45	$       820.91
	ALS-1 Non-emerg. A0426	$       870.35	$       870.35	$       970.26
	ALS-1 Emergency A0427	$       895.59	$       895.59	$       999.10
	ALS-2 A0433	$       1,033.61	$       1,033.61	$       1,153.09
	Ground Mileage A0425	$       14.43	$       14.43	$       15.39
	Decontamination			$       75.00
	Extra Attendant		$       75.00	$       75.00
	Bariatric			$       75.00
	Procedures			Commercial/Individual
		FY2019	FY2019	FY2019
	BLS AED			$       219.00
	ALS AED			$       219.00
	Capnography			$       45.00
	Cardiac/EKG Monitoring			$       195.54
	Chest Decompression			$       250.00
	CPAP			$       100.94
	CPR			$       150.00
	Defib/Pacing			$       250.00
	Extrication			$       180.00
	Glucometer			$       45.00
	Immobilization			$       45.00
	(backboard, combicarrier or scoop)			$       45.00
	Intubation (ET/EOA)			$       45.00
	K.E.D.			$       45.00
	Nebulizer Treatment			$       25.00
	OB Delivery			$       75.00
	Oxygen Administration			$       45.00
	Pulse Oximeter			$       10.00
	Restraint			$       45.00
	Splinting			$       75.00
	Suction			$       45.00
	Traction Splint			$       67.50
	Tracheotomy Procedure			$       295.00
	Medical Supply			Commercial/ Individual
		FY2019	FY2019	FY2019
	Adhesive Tape			$       5.00
	Bandages			$       21.22
	Betadine Swab			$       2.50
	Blanket - disposable			$       28.33
	Bulb Syringe			$       5.00
	Burn Sheet			$       36.55
	Cervical Collar			$       53.25
	Chest Decompression Kit			$       120.00
	Chest Seal (Disposable)			$       27.00
	Cold Pack			$       5.00
	Combat Tourniquet			$       55.41
	Convenience Bag			$       5.00
	Defib/Pacing Pads - Adult			$       85.00
	Defib/Pacing Pads - Pedi			$       98.00
	Disp. Head Immobilizer			$       65.00
	EKG Electrodes - 3 Lead			$       33.00
	EKG Electrodes - 12 Lead			$       132.00
	Eye Wash			$       15.00
	Gauze Pad 4x4			$       5.00
	Gauze pad 5x9			$       10.00
	Gloves - Pair			$       5.00
	Glucose Strip			$       10.00
	Hot Pack			$       2.50
	Isolation/Infection Control Kit			$       58.35
	Kerflix Soft Roll Gauze			$       5.00
	KY Jelly			$       5.00
	Linen (Disposable)			$       8.50
	OB Kit			$       45.00
	Padded Board Splint			$       36.00
	Petroleum/Vaseline Gauze			$       2.50
	Pillow - disposable			$       20.00
	Quick Clot			$       55.00
	Roller Gauze 4'			$       5.00
	Silver Rescue Blanket			$       27.50
	Silver Swaddler			$       27.50
	Splint (SAM)			$       25.00
	Sterile Water/Saline			$       5.00
	Thermometer Cover			$       5.00
	Trauma Dressing (Multi)			$       15.00
	Triangle Bandage			$       5.00
	Oxygen Supply			Commercial/ Individual
		FY2019	FY2019	FY2019
	Oxygen USP		$       90.18	$       90.18
	Aerosol Mask			$       10.00
	Corrugated Aerosol Tubing			Eliminated
	CO2 Detector			$       25.00
	Humidifier			$       10.00
	Nasal Cannula			$       5.00
	Non-Rebreather Mask			$       10.00
	Airway Supply			Commercial/ Individual
		FY2019	FY2019	FY2019
	Adult BVM			$       40.00
	Child BVM			$       40.00
	CO2 Sampling Line			$       24.00
	CPAP Mask/Tubing			$       124.29
	Endotracheal Inducer (Bougie)			$       12.84
	Disposable SPO2 Sensor			$       43.32
	Endotracheal Tube (ET)			$       25.00
	Endotracheal Tube Holders			$       10.00
	ETCO2 Sensor			$       23.50
	FilterLine H Set			$       59.70
	Infant BVM			$       40.00
	Change: IGel			$       90.00
	King Vision Blade			$       49.00
	Laryngoscope Blade Disposable			$       25.00
	LMA			Eliminated
	MucosalAirwayDevice(MAD)			$       17.48
	Magill Forceps			$       10.00
	Oral Airway			$       10.00
	PNEUPAC Vent Circuit			$       44.00
	Suction Cannister			$       20.00
	Suction Catheter (Yankuer)			$       10.00
	Suction Cath. (Looped)			$       5.00
	Suction Tubing			$       5.00
	IV Supply			Commercial/ Individual
		FY2019	FY2019	FY2019
	Angio Catheter (14G-22G)			$       10.00
	Buretrol Volume (Pedi)			$       31.84
	Drip Multi (10,150,60)			$       20.00
	EZIO Needle			$       205.00
	IO Needle			$       211.15
	Needles (18G-22G)			$       5.00
	Saline Flush			$       10.00
	Saline Lock			$       10.00
	Starter Kit IV			$       45.00
	Syringe 1cc			$       2.50
	Syringe 3cc			$       5.00
	Syringe 5cc			$       7.50
	Syringe 10cc			$       10.00
	Syringe 30cc			$       15.00
	Syringe 60cc			$       20.00
	Fluids			Commercial/ Individual
		FY2019	FY2019	FY2019
	Normal Saline 1000			$       42.58
	Normal Saline 500			$       39.48
	Normal Saline 250			$       19.73
	Normal Saline 100			$       19.73
	Drugs			Commercial/ Individual
		FY2019	FY2019	FY2019
	Acetaminophen/Tylenol			$       2.50
	Adenocard/Adenoside			$       177.00
	Albuterol/Proventil			$       14.42
	Amiodarone/Cordarone			$       52.00
	Ammonia Inhalant			$       2.50
	Aspirin/ASA 81mg			$       2.50
	Atropine			$       40.00
	Atrovent/Ipratropium			$       14.42
	Benadryl/Diphenhydramine			$       6.70
	Calcium Chloride/CaC1			$       25.41
	Cardizem/Diltiazem			$       74.16
	Cyanokit/Cyanide Antidote			$       1,850.00
	Dextrose 25%			$       35.86
	Dextrose 50%			$       71.74
	EPI 1:1000			$       10.00
	EPI 1:10000			$       18.00
	Fentanyl/Sublimaze			$       10.82
	Glucagon/Glucagen			$       585.70
	Glucagon/Glucagen Oral			$       11.00
	Haldol/Haloperidol			$       22.00
	Ketalar/Ketamine			$       20.17
	Labetalol/Normomodyne			$       18.85
	Lidocaine/Xylocaine 2% 100mg			$       20.00
	Magnesium Sulfate			$       10.00
	Naloxone/Narcan			$       81.43
	NTG/Nitroglycerine spray			$       35.41
	NTG/Nitroglycerine tab			$       7.25
	Sodium Bicarbonate 8.4% Adult			$       33.27
	Soul-Cortef			Eliminated
	Solumedrol			$       29.00
	Thiamine/B-1			$       45.84
	Versed/Midazolam			$       25.00
	Zofran/Ondansetron			$       10.00
	Exceptions: (1) Amounts billed to other governmental units are determined by the applicable contracts or arrangements with those units. (2) The City may accept assignment of Medicare and Medicaid claims or payments, in which case, the amount payable is determined by the appropriate regulations. Such amount shall control over the charges set out above, in case of any difference.